I puta whakarere mai rānei te toto i roto i tō repe pituitary i roto i tō mahunga? (Pituitary Apoplexy) Kia tūpato tātou!

Kua pāngia koe e te ānini nui ohorere, te tirohanga pōuri, te tirohanga rua, te hinganga rānei o te kamo? Ahakoa he onge tēnei, tera pea he take nui kei muri. Koinei te āhuatanga ohorere ka kōrerohia e tātou i tēnei rā, e kiia nei ko te "Pituitary Apoplexy". Kaua e mataku, me kōrero noa iho tātou mō tēnei.

He aha te Pituitary Apoplexy?

Ki te kī māmā noa, ko te `(Pituitary Apoplexy)` he āhuatanga e mutu ohorere ai te rere o te toto ki te repe pituitary , he repe iti i roto i tō tātou roro, (arā, ka aukatihia te rere o te toto), ka puta rānei te toto i roto i te repe (`(Hemorrhage)`). He āhuatanga kino tēnei, nō reira he wā ka hiahiatia he maimoatanga hauora ohorere .

Nā, he aha tēnei repe pituitary?

Whakaarohia, i waenganui tonu o tō tātou roro, i muri i te piriti o tō tātou ihu, he repe iti rite ki te pī. Koinei te mea e kīia nei e tātou ko te repe pituitary. Koinei tētahi o ngā repe matua o te pūnaha endocrine o tō tātou tinana. Koinei te mea e whakaputa ana, e whakahaere ana hoki i ngā homoni, arā, he karere matū e mahi nui ana i roto i tō tātou tinana.

He maha ngā mahi a te tinana e whakawhirinaki ana ki ēnei homoni. Anei ētahi tauira:

• Te whakahaere i tō tātou toto totoka .
• Te momonatanga me te mahi ā-ira tangata.
• Te tipu me te whanaketanga o te tinana.

Ka tukuna ngā homoni e tukuna ana e te repe pituitary ki ngā repe endocrine kē atu kia whakaputa i ā rātou homoni. He rite ki te kaiwhakahaere iti i roto i tō tātou tinana.

He aha te Adenoma Pituitary?

I te nuinga o te wā, ka puta tēnei āhuatanga e kiia nei ko te "Pituitary Apoplexy" i roto i te hunga he pukupuku pai (ehara i te matepukupuku) kei roto i te repe pituitary, arā, he "Pituitary Adenoma".

Heoi, he tokomaha te hunga kāore i te mōhio kei a rātou te `(Pituitary Adenoma)`. I ētahi wā ka kitea noa iho tēnei pukupuku i te wā o te `(Whakamātautau Whakaahua)` mō tētahi atu take. Ki ētahi, ko tēnei āhuatanga e kiia nei ko te `(Pituitary Apoplexy)` te tohu tuatahi kei a rātou te `(Pituitary Adenoma)`.

Ina whakarōpūtia ēnei "Pituitary Adenomas", ko te mea e hangai ana ki te whakaputa homoni, kāore rānei.

• Ngā pukupuku e whakaputa ana i ngā homoni: Ka taea e ēnei te whakaputa i te nui rawa o ētahi homoni.
• Homoni Adrenocorticotropic (ACTH): Ka whakaoho tēnei i ō tātou repe adrenal ki te whakaputa i tētahi homoni e kiia nei ko te cortisol . He homoni te Cortisol e āwhina ana ki te aro atu ki te ahotea, ki te whawhai ki ngā mate, me te whakahaere i te toto toto, te huka toto, me te pākia o te tinana.
• Prolactin:Ahakoa he maha ngā mahi a te tinana, he mea nui rawa atu mō te tipu o te kiko o te ū me te whakaputa waiū. Mēnā ka nui ake, ka pāngia ngā huringa paheketanga koretake o ngā wāhine, ka whakaiti hoki i te hiahia moepuku o ngā tāne.
• Homoni Tipu: Ka whakahaere i te tipu o ngā tamariki me te whakahaere i te ngako tinana, te huka toto, me te whakatikatika pūtau i ngā pakeke.
• Ngā Adenoma Pituitary Kāore e Mahi: Kāore ēnei e whakaputa i ngā homoni. Ko te Pituitary Apoplexy te mea e kitea nuitia ana i roto i te hunga whai ēnei adenoma pituitary kāore e mahi.

Ko wai te mea tino tūpono ka pāngia e te Pituitary Apoplexy?

E rua ngā wā ka nui ake te tūponotanga o tēnei mate ki ngā tāne i ngā wāhine. Ko te nuinga o te wā ka pāngia te hunga i waenga i te 37 me te 58 tau te pakeke.

He pēhea te noa o tēnei āhuatanga?

He rerekē ngā whakaaro mō te whānui o te mate Pituitary Adenoma. Nā te mea he maha ngā tāngata kāore e whakaatu i ngā tohu. E ai ki te whakaaro whānui a ngā tohunga he mea noa iho ēnei tohu. I waenganui i te 2% me te 12% o te hunga whai Pituitary Adenoma ka pāngia pea e te Pituitary Apoplexy.

He aha ngā tohu o te Pituitary Apoplexy?

Ko ngā tohu o tēnei mate e whakawhirinaki ana ki:

• Te nui o te toto.
• Ko te nui o te kiko i roto i te repe pituitary e mate ana i te ngaronga o te rere o te toto.
• Kei te āhua o te pupuhi (edema).

Ko te tohu tino kitea ko te ānini ohorere, te mamae nui. Neke atu i te haurua o te tangata ka pāngia e ngā raruraru tirohanga . Nā te pikinga o te pēhanga ki ngā io e haere ana mai i te roro ki ngā kanohi (ngā io whatu) tēnei. Kei roto i ēnei ko:

• Tirohanga takirua .
• Kamomata e piko ana .
• Te ngaronga katoa, te ngaronga wāhanga rānei o te tirohanga i te kanohi kotahi, i ngā kanohi e rua rānei.

Ko ētahi atu tohu ka puta mai i ngā huringa o te roro. I ētahi wā ka rite ēnei ki ētahi atu mate pūnaha io, pērā i te meningitis . Kei roto i ēnei tohu:

• Pōhēhētanga.
• Te ngenge nui.
• Te kirika.
• Whakapairuaki me te ruaki.
• Te aro nui ki te mārama (photophobia).

Ka pāngia te mahi a ngā homoni e te mate pituitary?

Āe, tino tika. Ina pakaru te repe pituitary, ka pā ki te mahi a ngā repe endocrine kē atu e whakahaeretia ana e ia, arā, ngā homoni e whakaputaina ana e ia, me te tukatuka a te tinana i aua homoni e whakahaeretia ana.

Ko te korenga o te homoni adrenocorticotropic (ACTH) tētahi mate homoni e kitea whānuitia ana. Ka pā tēnei ki te mahi a ngā repe adrenal, ā, i ētahi wā ka mate pea. Ko ōna tohu ko:

• Te toto toto iti (hypotension).
• Te huka toto iti (Hypoglycemia).
• Te iti o te konutai i roto i te toto (Hyponatremia).
• Whakapairuaki me te ruaki.

He aha ngā take o te Pituitary Apoplexy?

Ki te pono, kāore anō kia mārama te take tuturu mō tēnei.

Kua kitea e ētahi rangahau kei waenganui i te 10% me te 40% o ngā take e pā ana ki ētahi tikanga hauora, ngā āhuatanga hauora, me ngā rongoā. Anei ētahi tauira:

• Ka hoatu ngā rongoā ārai toto ki te hunga e pāngia ana e te thrombosis uaua hohonu me te embolism pūkahukahu.
• Ngā rongoā whakaohooho dopamine e whakamahia ana mō te mate a Parkinson me te mate waewae kore okiokinga.
• Ko te whakamātautau whakaohooho endocrine he whakamātautau hei tautuhi i ngā mate o te pūnaha endocrine.
• Ka whakaitihia te mahi a te ovarian e te rongoā Gonadotropin-releasing hormone (GnRH), e hoatu ana ki ētahi wāhine he mate pukupuku ū.
• Ngā whara o te upoko (pēnei i te hinganga, ngā aituā motuka).
• Te pokanga, inā koa te pokanga wheua me te pokanga ngākau.

Kei te ngana tonu ngā tohunga ki te mārama he aha i hono ai ēnei āhuatanga ki te "Pituitary Apoplexy." Mā tēnei rangahau ka āwhina i ngā tākuta ki te ārai i tēnei mate apoplexy i te wā e tiaki ana i te hunga whai pituitary adenomas.

Me pēhea te tautuhi i te Pituitary Apoplexy?

Ka tirohia koe e tō tākuta (Whakamātautau Tinana), ka aromatawai i ō tohumate, ā, ka whakahau i ngā whakamātautau pēnei i te (Whakamātautau Whakaahua).

I runga i te kaha o tō mate, me whiwhi pea koe i te maimoatanga ohorere . I roto i te rūma ohorere, ka mahia e ngā tākuta he matawai CT nā te mea ka taea e ia te whakaputa hua tere me te whakakore i ētahi atu mate, pēnei i te whiu. Heoi, ki te wātea te wā, ko te MRI te kōwhiringa pai rawa atu. Ka taea e ia te whakarato i ngā mōhiohio taipitopito ake mō te kino o te repe pituitary.

Me pēhea te rongoā i te Pituitary Apoplexy?

Kei reira ngā rongoā me ngā pokanga hei rongoā mō tēnei.

He mea nui ngā corticosteroids (ngā rongoā ā-waha) hei ārai i te ngoikore o te homoni adrenocorticotropic (ACTH). I te nuinga o te wā, ka ora ake ngā tūroro mā te rongoā.

Engari ki te kino haere ō tohu, ka tūtohu pea tō tākuta kia pokanga . He tikanga tēnei mā te whakamahi i tētahi huarahi iti rawa te whakaekenga. Ko te tikanga ka:

• Ka whakauruhia he ngongo iti ki roto i tētahi o ō pongaponga.
• Ka hangaia he kōhao iti ki te wheua e wehe ana i te pūkahukahu ihu me te roro.
• Ka whakauruhia he kāmera mā roto i taua ngongo, ā, ka tirotirohia te pukupuku.
• Kātahi ka tangohia te pukupuku, te kiko pituitary rānei kua pakaru mā taua ngongo.

Ka kiia tēnei tikanga he pokanga transnasal.E kiia ana hoki ko te `(Pokanga Transnasal)`.

Ka taea e au te ārai i te Pituitary Apoplexy?

Engari, kāore he huarahi tino tika hei ārai i tēnei āhuatanga.

Engari ki te mea he "Pituitary Adenoma" tōu, me mōhio koe ki te tūponotanga o tēnei mate apoplexy. Ki te pāngia koe e te ānini nui, e ngā panonitanga tirohanga rānei, rapua tonutia he maimoatanga ohorere.

He aha te tirohanga mō te Pituitary Apoplexy?

He mea tino nui te tautuhi wawe i te mate, me te tīmata i te maimoatanga . Ko te ōrau mate nā tēnei mate e tata ana ki te 2%.

Mō te tini o te tangata, ka taea te whakapai ake i ngā raruraru tirohanga mā te rongoā, mā te pokanga rānei. E 40% pea o ngā wā ka whakahokia te tirohanga katoa. Heoi, e 80% pea o te tangata e hiahia ana ki te rongoā whakakapinga homoni mō te wā roa . Nā te mea kāore i te kaha te mahi a te repe pituitary. He rerekē ngā āhua o tēnei rongoā homoni:

• Ngā momo kiriuhi.
• Ngā werohanga.
• Ka rewa i roto i te mangai.
• Ngā rehu ihu.
• Ngā papaki.
• Ngā pirepire e whakatakotoria ana ki raro i te kiri.
• Ngā pire noa.

Mena kua pāngia koe e te Pituitary Apoplexy, me haere tonu te tirotiro hauora (tiaki ā-muri). Kei roto i ēnei:

• Arotakehia tō tirohanga.
• Me whakarite kia tangohia katoatia te pukupuku.
• Aroturukihia ō taumata homoni.

Āhea ahau me haere ki te rūma whawhati tata?

Rapua tonutia te awhina hauora ohorere mēnā he raruraru tirohanga hou tōu, he ānini nui ohorere rānei. E kī ana ētahi ko tēnei ānini "te ānini kino rawa atu kua pā ki ahau."

Nā te mea ka puta ohorere mai te Pituitary Apoplexy, he mea nui kia tere te mahi mēnā ka pā mai ngā tohu pēnei i te mamae nui o te upoko me ngā panoni o te tirohanga.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Āe, kua mārama ake koe inaianei ki tā tātou i kōrero ai, arā, te Pituitary Apoplexy. Kia maumahara, he āhuatanga ohorere tēnei. Engari ko te rongo pai he rongoā kei reira mōna. I te nuinga o te wā ka taea e te rongoā te whakaora i te tirohanga. Heoi, he maha ngā tāngata ka pāngia e te ngoikore o ngā homoni mō te wā roa.

Nō reira, mā te whai i ngā tohutohu a tō tākuta, te toro atu ki tō tākuta i te wā tika, me te tango i te maimoatanga kua whakaritea, ka āwhina i a koe ki te whakahaere i ō taumata homoni me te pupuri i te kounga pai o te oranga. Kaua e mataku, engari ki te pāngia koe e tētahi o ēnei tohu, me rapu tohutohu hauora tonu.

Te mate o te pituitary gland, te repe pituitary gland, ngā homoni, ngā ānini, te ngoikore o te tirohanga, te toto i roto i te roro, ngā pukupuku pituitary gland